Medicare Part D coverage · azithromycin · RxCUI 308459
azithromycin 20 MG/ML Oral Suspension
Per the CMS 2026 Part D formulary file, azithromycin 20 MG/ML Oral Suspension is covered by 4,927 Medicare Part D plans (97.5% of enrollable products), averaging Tier 2.1, with prior authorization required on 0% of covering formularies.
- 97.5%
- Plan coverage
- 4,927
- Plans covering
- T2.1
- Avg tier
- 0%
- Prior auth required
What the CMS Formulary Data Shows for azithromycin 20 MG/ML Oral Suspension
Per the CMS 2026 Part D formulary file, azithromycin 20 MG/ML Oral Suspension (RxNorm concept RXCUI 308459, generic name azithromycin) appears on 317 distinct formulary files spanning 4,927 Medicare Part D plan offerings - 97.5% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.1.
Real-world access to azithromycin 20 MG/ML Oral Suspension depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 5,970,026 Part D beneficiaries filled azithromycin 20 MG/ML Oral Suspension in 2023, with total plan-and-beneficiary spending of $59,585,057 and an average per-beneficiary annual cost of $9.98. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry azithromycin 20 MG/ML Oral Suspension today.
Coverage Details
- Formularies covering
- 317
- Plans covering
- 4,927
- Coverage rate
- 97.5%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 5,970,026
- Total spending
- $59,585,057
- Avg per beneficiary
- $9.98
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering azithromycin 20 MG/ML Oral Suspension
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| UHC Dual Complete IA-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | IA |
| UHC Dual Complete MO-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | MO |
| UHC Dual Complete NE-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | NE |
| UHC Dual Complete KS-S001 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | KS |
| UHC Dual Complete MO-S3 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | MO |
| UHC Dual Complete KS-Q1 (HMO-POS D-SNP) | Unitedhealthcare OF Wisconsin, Inc. | T1 | No | $0 | KS |
| UHC Dual Complete TN-S001 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T1 | No | $0 | TN |
| UHC Dual Complete TN-Y001 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T1 | No | $0 | TN |
| UHC Dual Complete TN-Y2 (HMO-POS D-SNP) | Unitedhealthcare Plan OF THE River Valley, Inc. | T1 | No | $0 | TN |
| AARP Medicare Advantage from UHC MI-0001 (PPO) | Unitedhealthcare Insurance Company | T1 | No | $0 | MI |
| UHC Dual Complete NM-Y1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | NM |
| UHC Dual Complete NM-S1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | NM |
| UHC Dual Complete NM-V1 (PPO D-SNP) | Unitedhealthcare Insurance Company | T1 | No | $0 | NM |
| UHC Dual Complete AZ-S001 (HMO-POS D-SNP) | Arizona Physicians IPA, Inc. | T1 | No | $0 | AZ |
| UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) | Arizona Physicians IPA, Inc. | T1 | No | $0 | AZ |
| UHC Dual Complete VA-Y4 (PPO D-SNP) | Care Improvement Plus South Central Insurance Co. | T1 | No | $0 | VA |
| AARP Medicare Advantage from UHC AL-0001 (HMO-POS) | Unitedhealthcare OF THE Midlands, Inc. | T1 | No | $0 | AL |
| AARP Medicare Advantage from UHC CA-0002 (HMO-POS) | UHC OF California | T1 | No | $0 | CA |
| UHC Sharp Medicare Advantage CA-001P (HMO-POS) | UHC OF California | T1 | No | $0 | CA |
| AARP Medicare Advantage from UHC CA-003P (HMO-POS) | UHC OF California | T1 | No | $0 | CA |
Show the next 30 plans
Showing top 50 of 100 plans.
Frequently Asked Questions
Is azithromycin 20 MG/ML Oral Suspension covered by Medicare Part D?
Yes, azithromycin 20 MG/ML Oral Suspension is covered by 4,927 Medicare Part D plans (97.5% of all Part D formularies).
What tier is azithromycin 20 MG/ML Oral Suspension on Medicare Part D plans?
azithromycin 20 MG/ML Oral Suspension averages Tier 2.1 across Part D plans, ranging from Tier 1 to Tier 4.
Does azithromycin 20 MG/ML Oral Suspension require prior authorization?
0% of Part D formularies require prior authorization for azithromycin 20 MG/ML Oral Suspension. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on azithromycin 20 MG/ML Oral Suspension?
In 2023, total Medicare Part D spending on azithromycin 20 MG/ML Oral Suspension was $59,585,057, covering 5,970,026 beneficiaries. The average spend per beneficiary was $9.98.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
- 24 HR divalproex sodium 250 MG Extended Release Oral Tablet T2.1
- carbamazepine 100 MG Chewable Tablet T2.1
- methylphenidate hydrochloride 10 MG Oral Tablet T2.1
- theophylline 400 MG Extended Release Oral Tablet T2.1
- 1 ML medroxyprogesterone acetate 150 MG/ML Prefilled Syringe T2.1
- silver sulfadiazine 10 MG/ML Topical Cream [SSD] T2.1
Similar prior-authorization rate
- metronidazole 10 MG/ML Topical Cream [Noritate] 0% PA
- 24 HR minocycline 40 MG Extended Release Oral Capsule [Emrosi] 0% PA
- buspirone hydrochloride 10 MG Oral Capsule [Bucapsol] 0% PA
- diflunisal 375 MG Oral Tablet [Dolobid] 0% PA
- hydrocortisone 1 MG/ML Oral Solution [Khindivi] 0% PA
- indomethacin 50 MG Rectal Suppository [Indocin] 0% PA